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NPI Code Detail

MEDICARE: SANDRA LISBETH MOLINA GIRALDO MS, MT5225

MEDICARE:   SANDRA LISBETH MOLINA GIRALDO  MS, MT5225
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor25024FL
2106H00000XMarriage & Family TherapistMT5225FL

General Provider Information

NPI Number : 1972379865
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LISBETH MOLINA GIRALDO MS, MT5225
Provider Business Mailing Address
First Line : PO BOX 840044
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33084-2044
Country : US
Telephone Number : 954-856-3008
Fax Number :
Provider Business Practice Location Address
First Line : 6100 HOLLYWOOD BLVD STE 201
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-7981
Country : US
Telephone Number : 954-856-3008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2023
Last Update Date : 06/10/2026

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Directions to “ SANDRA LISBETH MOLINA GIRALDO MS, MT5225” Practice Location

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